Nozzle Quotation Request

To request a quote, please complete and submit the following form. We will respond as soon as possible. Remember, the more information you can provide, the faster we can reply.

Contact Information

Your Name:
Title:
Company:
Account No.:	(if known)
Mailing Address:
City:	State: Zip Code:
Country:
Phone:
Fax:
E-mail:
Type of Business:
How Did You Find Us?:

Quotation Information

Machine Make:		Model Number:
Ounce Capacity:		Resin Type:

Dimensions:
1. Overall Length:		2. Rear Opening:
3. Thread Size:		4. Thread Length:
5. Counterbore Dia.:		6. Counterbore Length:
Special body diameter (if any): (Normal diameter is 1½".)
TC Hole:	No Yes	If Yes:	Standard 1/8 NPT Special

Internal Design:

Select a Design:	Replaceable Tip Type	Solid Body Type
General Purpose	Type A	Type B Radius: Orifice:
Reverse Taper (Nylon)	Type A	Type C Radius: Orifice:
Full Taper (ABS)	Type D	Type E Radius: Orifice:

Other Information:

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